NPI 1114697901

Shyquanda Mahome

Practitioner Licensed Practical Nurse Americus, GA

Practice location

Address: 200 Cotton Ave, Americus, GA 31709-3514
Phone: (209) 718-0098
Mailing address: 1107 Felder St, Americus, GA 31709-4322

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN089774 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1114697901
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2021
Record last updated: 14 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.